| NPI | 1558515593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21939) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003293) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2016-06-24 |